Impact of stress testing on 30-day cardiovascular outcomes for low-risk patients with chest pain admitted to floor telemetry beds

Prognostic Value of the Duke Treadmill Score for Emergency Department Patients with Chest Pain

“…Also, there was a similar rate of non-diagnostic treadmill results (23% vs. 9.4% in this study) and adverse events in the non-diagnostic group (3% vs. 12.5% in this study) (28). In a cohort of 832 low-risk patients admitted to inpatient telemetry beds, Chan and colleagues found that rates of adverse cardiac events were similar between those who received treadmill testing and those who did not (29).…”

Chest Pain Evaluation in the Emergency Department

“…At baseline, there were no differences between patients who received stress testing or not in respect to demographics, risk factors, risk scores (Acute Coronary Ischemia-Time Insensitive Predictive Instrument [ACI-TIPI] and Goldman), or specific clinical features of the chest pain, including location, quality, or associated symptoms. 41 The authors found that more than 30 days of follow-up the overall rate of AMI among the cohort was low (<1%) and there was no difference between patients who received stress testing and those who did not. 41 Given the low event rate, the authors cautioned that the sample size was too small to exclude a type II error with confidence.…”

“…41 The authors found that more than 30 days of follow-up the overall rate of AMI among the cohort was low (<1%) and there was no difference between patients who received stress testing and those who did not. 41 Given the low event rate, the authors cautioned that the sample size was too small to exclude a type II error with confidence. 41 Safavi and colleagues 42 recently performed a cross-sectional study of 224 hospitals using administrative claims data for 549,078 patients with suspected ischemia on initial evaluation.…”

Quantifying Patient-Physician Communication and Perceptions of Risk During Admissions for Possible Acute Coronary Syndromes

“…5,6 In the setting of negative initial biomarker results and a nonischemic ECG result, the 30-day risk profile of ED patients with chest pain is favorable. [7][8][9] Most patients can be risk stratified to a less than 1% chance of adverse event, although no patients can be stratified to zero risk.…”